Active NPI
Tatiana Morris, LPC
- Professional Counselor
- Eagan, MN
National Provider Identifier
1164981429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2110
- Practice address
- 4141 Old Sibley Memorial Highway
Eagan, MN 55122 - Phone
- (503) 902-6260
- Fax
- (503) 902-6260
- NPI assigned
- Mar 17, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2110 | MN | Primary |
Addresses
Primary practice location
4141 Old Sibley Memorial Highway
Eagan, MN 55122
Mailing address
3916 N Potsdam Ave # 2327
Sioux Falls, SD 57104-7048
Phone (503) 902-6260
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2110 | MN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586822400000",
"number": "1164981429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3916 N POTSDAM AVE # 2327",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571047048",
"telephone_number": "503-902-6260",
"fax_number": "503-902-6260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4141 OLD SIBLEY MEMORIAL HIGHWAY",
"city": "EAGAN",
"state": "MN",
"postal_code": "55122",
"telephone_number": "503-902-6260",
"fax_number": "503-902-6260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "TATIANA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-17",
"last_updated": "2020-04-14",
"certification_date": "2020-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "2110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eagan, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.